APO-RA: Tolerance and Effectiveness of Cell Therapy by Autologous Apoptotic Cells in the Treatment of Rheumatoid Arthritis
Study Details
Study Description
Brief Summary
The aim of the study is to determine the tolerance of apoptotic autologous cells injection in subjects with active rheumatoid arthritis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Rheumatoid arthritis Patients with rheumatoid arthritis. An injection of autologous apoptotic cells is performed on the D0. |
Biological: Autologous apoptotic cells injection
cells injection
|
Outcome Measures
Primary Outcome Measures
- Tolerance of apoptotic cells injection [12 weeks]
Side effects are taken into account to assess tolerance.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with a diagnosis of Rheumatoid arthritis
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Therapy failure with at least one biological agent from anti-TNF-alpha (etanercept, infliximab, adalimumab, certolizumab and golimumab; 3 months at optimal dose), anti-IL6 (tocilizumab; 3 months); T-cell costimulatory pathway inhibitor (abatacept; 3 months); anti-CD20 (rituximab; 6 months at optimal dose); Anti IL-1 (anakinra; 3 months)
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Disease Activity Score (DAS) DAS28 ≥ 3.2
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Subject has provided written informed consent
Exclusion Criteria:
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Pregnant or lactating women
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Inflammatory arthritis other than rheumatoid arthritis
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History of invasive cancer
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Immunodeficiency (HIV infection, Immunosuppressive therapy)
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Active bacterial or viral infections, in particular HCV or HBV.
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Surgery not older than 4 weeks.
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Unstable comorbidities: uncontrolled diabetes, heart disease, advanced renal or hepatic impairment.
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Contraindication to an apheresis
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Centre Hospitalier Universitaire de Besancon
Investigators
- Principal Investigator: Eric Toussirot, Professor, Rhumatology - CHU Besançon
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- P/2013/196